| NPI | 1043722929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARIE MONTANO Acute Care Nurse Practitioner 508-579-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 102652) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |